Case #1: Meghan, a 34-year-old woman comes to the physician’s office complaining of feeling jittery all the time and suf

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Case #1: Meghan, a 34-year-old woman comes to
the physician’s office complaining of feeling jittery all the time
and suffering from intolerance to heat. The physician rules
out menopause because Meghan is young. He suspects
hyperthyroid disease.
What other symptoms will the physician look for in Meghan to
suggest a diagnosis of hyperthyroid disease?
What diagnostic bloodwork and other tests are performed to
confirm the diagnosis?
The physician decides to treat conservatively using
methimazole. In your own words, explain the action of this
medication given to treat hyperthyroidism.
How will blood tests be used to follow and evaluate the
effect of medication and why?
What will the nurse need to discuss with the patient
concerning the side effects vs adverse effects of this drug and
why?
Case #2; Jeanine has been dieting and exercise
and trying unsuccessfully to lose weight. She states she feels
cold and tired all the time and is discouraged she is not losing
more weight. Her nutritional counselor suggests that Jeanine
speak to her physician to have her thyroid levels checked.
What symptoms of low thyroid function did this patient
demonstrate? What are other symptoms of low thyroid function -list
below:
What diagnostic blood tests will confirm the diagnosis? What
are the normal levels?
Jeanine’s health care provider orders Levothyroxine.
Explain the action of this medication given to treat hypothyroid
disease.
How will blood tests be used to follow and evaluate the
effect of this medication?
Jeanine is upset when she is told she will have to take this
medication for life. How will you explain to her why
she will need to continue to take it?